Evidence map›Paper›PMID 28162769›Full record

ArticleThe Journal of pediatrics2017

Cord Blood Biomarkers of Placental Maternal Vascular Underperfusion Predict Bronchopulmonary Dysplasia-Associated Pulmonary Hypertension.

Karen K Mestan, Nina Gotteiner, Nicolas Porta, William Grobman, Emily J Su, Linda M Ernst

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Karen K MestanDepartment of Pediatrics, Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, Chicago, IL. Electronic address: k-mestan@northwestern.edu.
Nina GotteinerDepartment of Pediatrics, Division of Cardiology, Ann & Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, Chicago, IL.
Nicolas PortaDepartment of Pediatrics, Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago and Northwestern University Feinberg School of Medicine, Chicago, IL.
William GrobmanDepartment of Obstetrics & Gynecology, Division of Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Emily J SuDepartment of Obstetrics & Gynecology, Divisions of Maternal-Fetal Medicine and Reproductive Science, University of Colorado School of Medicine, Aurora, CO.
Linda M ErnstDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Northwestern University · USUniversity of Colorado Denver · US

Funding

Mediators of impaired fetoplacental angiogenesis in fetal growth restrictionR01HL119846 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SU, EMILY J · 2014 to 2023
$4.9M
Oxidant Stress and Gene Polymorphisms in Bronchopulmonary DysplasiaK23HL093302 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI MESTAN, KAREN K · 2010 to 2013
$538k
NHLBI NIH HHS K23 HL093302NHLBI NIH HHS R01 HL119846
6 · The paper itself

Abstract

objectiveTo assess whether cord blood biomarkers associated with placental maternal vascular underperfusion (MVU) are predictive of bronchopulmonary dysplasia-associated pulmonary hypertension (BPD-PH). STUDY

designPremature infants enrolled in a longitudinal cohort study were randomly sampled from 4 gestational age strata (n?=?190, range 23-36 weeks). Fifteen factors from a human angiogenesis panel were measured in cord blood using multiplex immunoassay. Multivariate linear regression was used to compare biomarker levels according to placental histologic MVU, taking into account acute/chronic inflammation and fetal vascular pathology. Biomarkers associated with MVU were further evaluated in the subgroup of extremely low gestational age infants (gestational age ? 28 weeks; n?=?48), and measured by enzyme-linked immunoassay in an additional 39 infants to determine associations with BPD (defined using the National Institutes of Health workshop criteria) and PH (identified by echocardiogram at 36 weeks of gestation).

resultsCord blood placental growth factor (PIGF), granulocyte-colony stimulating factor (G-CSF), and vascular endothelial growth factor-A were decreased with MVU (P?<?.003), and decreased with BPD-PH (P?<?.05). The findings were validated for PIGF and G-CSF in 39 additional extremely low gestational age infants. In the combined group (n?=?87), PIGF was decreased in infants with BPD-PH (n?=?21) versus controls without PH (median 3 pg/mL [IQR 2-7] vs median 15 pg/mL [IQR 6-30], respectively; P?<?.001). G-CSF was similarly decreased with BPD-PH (median, 55 pg/mL [IQR 38-85] vs median 243 pg/mL [IQR 48-1593], respectively; P?=?.001). Receiver operator curve analysis revealed that decreased PIGF and G-CSF were predictive of BPD-PH (area under the curve 0.83 and 0.76, respectively).

conclusionsCord blood angiogenic factors that are decreased with placental MVU may serve as predictors of BPD-PH.

Indexed as

BiomarkersBronchopulmonary DysplasiaCohort StudiesFemaleFetal BloodGestational AgeGranulocyte Colony-Stimulating FactorHumansHypertension, PulmonaryInfant, Extremely PrematureInfant, NewbornInfant, PrematureLongitudinal StudiesMalePlacentaPlacenta Growth FactorBiomarkersGranulocyte Colony-Stimulating FactorPlacenta Growth FactorVascular Endothelial Growth Factor Agranulocyte colony-stimulating factorplacental growth factorpremature infantvascular endothelial growth factor

Identifiers

PMID28162769
PMCPMC5529237
OpenAlexW2585967314

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.